How does lantus work

Common Questions and Answers about How does lantus work

lantus

Your doctor can advise you as to how the Lantus is affecting you, and how to adjust your food, and time you take the insulin. You might also want to ask about the insulin pump, Which does the same as the Lantus. It gives you a base line of insulin and you just dose your self when you eat according to the amount of carbohydrates you eat.

I was a young female of 15 when I was diagnosed. I am 25 now and have been through high school finals, boyfriends, a marriage, a divorce, and now, yes, college as well. Has you daughter been in to see an Endocrinologist? This is a metabolic/Diabetic specialist.
The reason I ask is because it's not only hard to be a teenage female turning into a young woman with hormone changes, but you add diabetes to that and it's damn near impossible to maintain numbers!!

I have had this problem and was just wondering where she does it, how she stops it from these uncomfortable feelings (or if she cant, just tell her I do it in my thighs mostly all the time, freezing the area does not work, relaxing the leg doesn't work, ect.ect. Any information will help, and I am truly sorry I am questioning back. The only thing I can offer as advice is, just have her to get her mind off whatever like watching TV or go on the computer.

Howdoes the Dawn Phenomenon affect the Lantus adjustment? I started at 40u and I am now at 80u but still not seeing 130. My fasting readings for 2 straight days at 6, 7 and 8 am were (average) 136, 149, 157. I know I need to eat to bring those down. It seems I might be closer to 130 if say I took my fasting reading at 3 or 4 am. It not really much of a fast if I have a snack before bed and don't go to sleep till 11 or midnight. I was worried that 80u is way too much.

And I know you out there are wondering how in the hell did Lantus cause major back surgery? Well to make it as short as possible when I got life flighted for this rare brain disease the dr's tried on multiple attempts to give me a spinal tap which they never did succeed on and damaged my back. I had back problems before they poked me like a pin cushion,but I had mild to what I thought was normal back pain.

Does anyone know a formula for amount of Lantus needed for a basal dose vs how many units fast-acting you take per carb? I have major swings. Yesterday was told by a nurse that the Lantus I take is really low compared to amount of Humalog I take, but she never told me HOW much she thought I should be taking.
I take 1.5 u Humalog per carb for all meals (for last 3 weeks - has changed many times). I'm supposed to take 11 u Lantus in am. My morning BS is usually 300-500.

Hello,
Your night time dose of lantus does need to be increased (typically increase is by 1 - 2 units every 3 days) until your target fasting blood sugar the next day is reached. However, this should be done under supervision of a doctor or diabetes educator.
You need to find a new doctor who will help you adjust your insulin appropriately. You also need to read up on diabetes and it's management. Recommend the book "think like a pancreas' or "using insulin".

The only biofeedback machine I have heard of, and used, measures physiological reactions much as a polygraph does. It's used by psychologists and psychiatrists to teach patients how to regulate their anxiety levels by regulating their blood pressure and heart rate by learning to control the temperature of the hands. It's also used in the same way for migraines, which is a form of vascular headache.

type 2 don't have them and type 1 does. Another useful test is the c-peptide which shows how much insulin he is actually making. The bottom line is if his numbers are coming down into range with the treatment he is using, and the correct regimen is the one that lowers blood sugar to where it needs to be the majority of the time.

My lifestyle is much more limited now, but still I question how both Lantus and a pump would work in strenuous physical activity. When you actually physically contort your body and organs, producing sometimes surprisingly strong physiological results (in Yoga), is the pump able to stay put and handle the rush, so to speak, safely? I think I would be able to predict Lantus better than the pump just because of lack of experience/knowledge with the pump.

I'm having trouble with how to know his carbohydrate-insulin ratio. I think I'm goind to start at 12 carbs/ 1 unit...Does this sound like a reasonable place to start? Also, what would be a good website to read up on this?

I agree the lantus just never worked for me. I take the levimir, however, it doesn't seem to matter how much or how little I take. In the morning, I have been experencing many more lows, like lows (35 or so). I had been on pump therapy for 15 years, so I guess I'm still getting used to this.

After another 5 days in the hospital, no one really knows what is going on. How many times does my husband have to go into ketosis before someone tells us what is going on. It is so frustrating. Keep om the tx, and keep getting 500 blood sugars. I hope my husband survives this nightmare.

As I see it, one can opt for calorie control, which will make you miserable and probably regain the weight quickly,(and this would only work if insulin was reduced aswell), or you can work along the principles of how fats and carbs are metabolised. If you take a certain amount of insulin, you must take a certain amount of carbs(feeding the insulin), and the end result will be weight maintenance or weight gain. As soon as we feed insulin with unrequired energy, it is deposited as fat.

Fasting blood lab today shows Glucose and Lipid panel showing numbers in the diabetic range!
Not only does tx sometimes fail, but it seems to also make a bad situation worse. Just thought I'd share another page from my anecdotal life with HCV and it's chemotherapy as something for folks to consider when looking at whether to treat or not.

Besides rest what is the best way to recover from this and
how much long term damage is being done to his body? He is a tall
average size person who doeswork out maybe 2 times a week. EAch time
this has happened he gets too tired and falls asleep before he has
eaten enough. The low hits in the middle of the night
and the seizure begins. All of them have happened at night, usually
after a long day at work when he did not take time to eat .
He is not living at home but does have roommates.

In between these episodes he is entirely pain free whether at rest or doing activites around the house. He does not feel any radiation of this pain and does not get short of breath. The pain starts out mild and gets more intense and then eases off after he takes the antacid. Incidentally, they gave him morphine and a nitro patch in the ER and it didn't seem to affect the pain very much. Is a normal stress test a good indicator that his problem is not cardiac in origin?

I am wondering whether this is some hormone related issue ,or whether I have developed some resistance vs humalog so it doesnt work well (and the lantus is too much). I have given up using any alcohol or doing demanding exercise(jogging) for a while becuase they make the matters worse (though i really enjoy exercising).
any suggestions to why this is happening or how i can take care of this would be greatly helpful.

I feel like I am drowning in medical bills already, and there is no relief. How do people get by without losing their home, car, and other necessities?
Is there a cut of depending how much a family makes? Do you have to be poor to receive any benefits? Please I hope someone has answers for me.

These factors affect how much insulin you need (as in your Lantus dose) for background, as well as how much you need to cover your foods. It's really time for you have a follow up appointment to review your progress and timing of your injections.
Over time you might consider talking to your doc about pumping, which can give folks quite refined control. Good luck!

No, I am not aware of any people who have contacted us with any kind of resistance to Lantus. I do know that Lantus must be replaced at the end of a month on one bottle. The expiration date is really important, for near the end of the month, some of us find that it no longer crystallizes properly. Some people notice that when the Lantus bottle is about one month old, it doesn't work well. But if you just started the bottle, this is probably not the problem.

as I never heard of these problems with Lantus. Lantus is a 24 hour basal insulin that starts to work in an hour after injected and lasts most of the day without peaking. Also, I have never heard of a Lantus pen but have a call into our local rep to ask. My teenage son has Type 1 diabetes and there is never a dull moment with diabetes, is there.

It takes a while for food to get into your system and for the insulin to work. You would be surprised at how much of a difference a half hour can make in your blood sugar. If it is still high, then I might consider lowering the Lantis and increasing the Novolog to cover breakfast, but not without talking to your doctor first. The other possibility is eating a small snack around 11:30 to prevent the lows.

The Lantus is a much longer acting insulin without the drastic peaks which can give you a lot more flexibility. I don't know how long you were on the Lantus before you switched back to the NPH, but your blood sugar swings may not have been totally related to the insulin, since you are still having problems on the NPH. My own preference would be to go back on the Lantus and give it another try. Perhaps eating a smaller snack or taking a littl less Lantus might do the trick.

I personally find that knowing how all of these outside factors affect my body is absolutely necessary in order to be able to manage the glucose levels and know when to increase or when to decrease the basal Lantus dose. You might want to ask your doctor about how the factors mentioned above affect glucose levels. You might also want to read about them, perhaps by doing a Google search on any of those words combined with the words "affect of ___ on diabetes". Good luck to you.

The new insulin Lantus and Novolog does seem to allow me to gain weight more easily but I was able a while back to take off some 25 pounds by staying away from FAT and Lower my Carbs. When sugar went low used quick acting sugar like glucose gel or Coke stayed away from cookies candy bars ect to get it up. Excercise helped not pound wise but did loose inches. Best thing was to eat close to Zero Fat and Low Carbs.

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